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diagnosis algorithm treatment checklist intraoperative workup cardiac clinical foamed anaphylaxis arrest chf clinica cooling differential echocardiogram embolism embolus evacuation evaluation
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... 15s - Don't cover ... supraventricular #tachycardia
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... underlying cause #Stable ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
: hypotension, tachycardia ... Consider thrombolysis e.g ... mainstay of initial management ... with saline and cover ... Embolism #VTE #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... as patient is stable ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... arrythmias Diagnostics: EKG ... CT/MRI ($$$$) CORE ... Stress #Testing #cardiology ... #management #diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... mmol.l-1 ❼ Check core ... ❾ Plan further management ... Cardiac #Arrest #Anesthesiology
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
Pack and cover wounds ... Transfer on operating table ... remember mains cable ... Patient #Evacuation #Anesthesiology ... #Checklist #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... functional status - Able ... metabolic equivalent able ... Stable patients ... one post op Cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... are typically able ... Now consider Tachycardia ... #diagnosis #management ... foamed #algorithm #criticalcare
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